In healthcare there is a long held wisdom that ‘champions’ are a key aspect of organizational change. Drawing on organizational management theory, we examine the role of champions in three health and social care organizations in England as they attempt to move services to a remote model of...

This paper presents managerial attempts at implementing telehealthcare. Our longitudinal, ethnographic case studies document both successful and failed implementations across five health and social care organisations in England. We draw on theories of organisational identity, sensemaking and...

Background: Telehealth is an emerging field of clinical practice but current UK health policy has not taken account of the perceptions of frontline healthcare professionals expected to implement it. Aim: To investigate telehealth care for people with long-term conditions from the perspective of...

Objective: To examine the costs and cost effectiveness of telehealth in addition to standard support and treatment, compared with standard support and treatment. Design: Economic evaluation nested in a pragmatic, cluster randomised controlled trial. Setting: Community based telehealth...

There has recently been considerable interest in construction research in paradigms developed for the manufacturing sector. Using lean thinking and agile production as examples of innovative organizational and business process design, this paper explores their commonalities and differences. In...

In the paper we address the way Japanese housebuilders have developed innovative approaches to supplying highly customised housing. We draw on notions of path dependency to explore the evolution of Japan's large-scale industrialised housing suppliers, the way they have differentiated themselves...

One major problem for the production of low-cost housing in the UK is the continued lack of control over the market for housing land, yet there is very little debate about ways of controlling land prices. This paper assesses some alternative approaches to land-use planning by focusing on high...

This paper discusses the role of public demand, in the form of a government procurement policy, in generating innovative solutions for healthcare infrastructure. It considers the effects of the project delivery system (planning, finance, construction and operation) for new hospitals on design...

Purpose of the study: to examine the costs and cost-effectiveness of ‘second-generation’ telecare, in addition to standard support and care that could include ‘first-generation’ forms of telecare, compared with standard support and care that could include ‘first-generation’ forms of...